Healthcare Management Administrators · 1 month ago
BCBS Claims Specialist II
United States
Full-time
Remote
Mid LevelHealthcare Management Administrators (HMA) is a premier third-party health plan administrator that provides customized health plans to medium to large-size employers. The Claims Specialist II will be responsible for the accurate and timely processing of various claims, ensuring a positive healthcare experience for members while working collaboratively within a dedicated team.
Health CareInsurance
Responsibilities
Research and process ITS claim adjustments, returned checks, refunds and stop payment in an accurate and timely manner
Communicate with local Blue plans utilizing real time chat
Process priority claims and general inquiries
Respond to appeals and correspondence regarding claims functions
Support team members and be open to providing assistance when and where needed
Become a SME regarding BCBS network
Qualification
Required
Experience in processing medical, dental, vision, and short-term disability claims
Ability to research and process claim adjustments, returned checks, refunds, and stop payments accurately and timely
Strong communication skills to interact with local Blue plans utilizing real-time chat
Experience in processing priority claims and general inquiries
Ability to respond to appeals and correspondence regarding claims functions
Willingness to support team members and provide assistance when needed
Ability to become a Subject Matter Expert (SME) regarding BCBS network
Benefits
Comprehensive salary
Pay transparency
Benefits
Time off package
Plenty of personal development and growth opportunities
Company
Healthcare Management Administrators
HMA is Proving What's Possible in Healthcare®.
Founded in 1986
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lindsay Harris
Board Member
Recent News
2025-09-30
Company data provided by crunchbase